Introduction Giant prostatic adenocarcinoma represents a rare and challenging treatment dilemma. Case presentation We describe a case of an otherwise healthy 71-year-old African male who presented with a PSA of 5800 ng/ml and a prostate volume of over 1000cc. Unique aspects of this case include the size of the prostate, the apparent absence of distant metastases, and the safe usage of transabdominal biopsy of this mass. Conclusion We present this case report and review of literature to generate further discussion amongst readers as to management options for this difficult case.
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机译：引言巨大的前列腺腺癌代表了罕见且具有挑战性的治疗难题。病例介绍我们描述了一例健康的71岁非洲男性，其PSA为5800 ng / ml，前列腺体积超过1000cc。这种情况的独特方面包括前列腺的大小，明显的远处转移以及安全使用这种肿物的经腹穿刺活检。结论我们提供了此病例报告并进行了文献综述，以引起读者对这一困难病例的管理选择的进一步讨论。
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